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Framing risk in pandemic influenza policy and control

机译：大流行性流感政策和控制中的框架风险

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摘要

This article explores differing understandings of 'risk' in relation to pandemic influenza policy and control. After a preliminary overview of methodological and practical problems in risk analysis, ways in which risk was framed and managed in three historical cases were examined. The interdependence between scientific empiricism and political decision-making led to the mismanagement of the 1976 swine influenza scare in the USA. The 2004 H5N1 avian influenza outbreak in Thailand, on the other hand, was undermined by questions of national economic interest and concerns over global health security. Finally, the recent global emergency of pandemic influenza H1N1 in 2009 demonstrated the difficulties of risk management under a context of pre-established perceptions about the characteristics and inevitability of a pandemic. Following the analysis of these cases, a conceptual framework is presented to illustrate ways in which changing relationships between risk assessment, risk perception and risk management can result in differing policy strategies.
机译：本文探讨了与大流行性流感政策和控制有关的“风险”的不同理解。在对风险分析中的方法和实际问题进行了初步概述之后，研究了三种历史案例中风险的构成和管理方式。科学经验主义与政治决策之间的相互依存导致了美国1976年猪流感恐慌的管理不善。另一方面，2004年在泰国爆发的H5N1禽流感受到国家经济利益和对全球健康安全的担忧的破坏。最后，2009年全球最近发生的H1N1大流行性流感突发事件表明，在对大流行的特征和必然性有预先确定的认识的背景下，风险管理存在困难。在对这些案例进行分析之后，提出了一个概念框架，以说明改变风险评估，风险感知和风险管理之间的关系可能导致不同的策略策略的方式。

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  • 来源
    《Global public health》 |2012年第8期|p.717-730|共14页
  • 作者

    Theresa Seetoh; Marco Liverani; Richard Coker;

  • 作者单位

    Communicable Diseases Policy Research Group (London School of Hygiene and Tropical Medicine), Mahidol University, Bangkok, Thailand,Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK;

    Communicable Diseases Policy Research Group (London School of Hygiene and Tropical Medicine), Mahidol University, Bangkok, Thailand,Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK;

    Communicable Diseases Policy Research Group (London School of Hygiene and Tropical Medicine), Mahidol University, Bangkok, Thailand,Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK;

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  • 原文格式 PDF
  • 正文语种 eng
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  • 关键词

    risk; risk assessment; risk management; risk perception; pandemic influenza policy;

    机译：风险;风险评估;风险管理;风险感知;大流行性流感政策;

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